Court-ordered coverage, like a child support order—you need one of these:

• Court order that shows the effective date
• Medical support order
• Foster care papers dated and signed by a court official

Death of policyholder—you need both of these:

• Death certificate or public notice of death, and
• Proof of prior qualifying health coverage within the last 60 days

Discharged from military—you need one of these:

• Dated copy of your military discharge papers, or
• Certificate of Release that shows the coverage end date

Divorce or legal separation—you need both of these:

• Divorce or annulment papers that show the ending of health care responsibility, and
• Proof of prior qualifying health coverage within the last 60 days

Loss of government coverage

If you were on Medicaid, you need one of these:

• Documentation from Michigan Department of Health and Human Services indicating the reason for loss and when coverage ended or will end  
• Letter from Medicaid or Children's Health Insurance Plan (CHIP) stating when coverage ended or will end

For other programs like Medicare, TRICARE, AmeriCorps or Peace Corps, you’ll need a letter or notice that shows the coverage end date.

Released from prison:

• Document from the Department of Corrections, jail or prison that shows your order of parole, order of release, or an address certification

Student coverage ended:

• Letter from college or university showing the coverage end date

Events related to the Marketplace

You’ll need documentation from the Health Insurance Marketplace or state-based exchange showing determination of eligibility and date for the following:

• Newly eligible for Premium Tax Credit
• Materials violation of the plan contract
• Unintentional, inadvertent or erroneous enrollment